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Credentialing/Compliance Specialist

2 months ago


Dallas, United States Texas Institute for Surgery Full time
Job Details

Job Location
Texas Institute for Surgery LL SURG - Dallas, TX

Position Type
Full-time

Salary Range
$20.00 - $30.00 Hourly

Travel Percentage
None

Description

Job Summary
  • TIFS is looking for a Credentialing/Compliance Specialist to ensure that all of our medical staff members (MDs, PA's, NPs etc.) have the necessary qualifications for their medical position and will also play a vital role in TIFS compliance and ethics program, having leadership over enterprise policy management and key responsibility for third-party risk management. This role will have an opportunity to collaborate with business stakeholders across the organization to ensure appropriate policy and procedure oversight and reviews, coordinate training and awareness efforts, and implement appropriate vendor oversight.
  • This role will also involve looking into their work and education history, confirming their certifications with the appropriate organizations, and keeping track of expiration dates and renewals.
  • The ideal Credentialing/Compliance Specialist has an associate degree in a field such as health information management (HIMS) and experience in medical administration.
Credentialing Duties and Responsibilities
  • Confirm the education and work history of our physicians
  • Audit potential physicians to ensure they meet our standards
  • Keep track of expiration dates and let physicians know when they need to renew
  • Update company standards when regulations change
  • Maintain a database of all physician credentials
Compliance Duties and Responsibilities
  • Support the development and launch of compliance training, track and report status of annual compliance training, and assist with compliance training communications as necessary.
  • Lead special projects and assist with other tasks, raise awareness about compliance and ethics topics, and contribute to the various functions of the compliance department.
  • Assist with privacy incident handling and reporting requirements to support HIPAA compliance efforts.
Qualifications

Requirements and Qualifications
  • High school diploma or GED certificate
  • Bachelor's degree in a medical administration or compliance field (preferred)
  • 5+ years in a complex health care setting mandatory, with experience in Intellcentrics and MD Staff
  • Administrative and compliance experience
  • Familiarity with medical terminology
  • Strong research and organizational skills